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Predictive value of C-reactive protein for major postoperative complications following off-pump coronary artery bypass surgery: prospective and observational trial

Authors
 Dae Hee Kim  ;  Jae Kwang Shim  ;  Seong Wook Hong  ;  Kwang Rae Cho  ;  Seung Youn Kang  ;  Young Lan Kwak 
Citation
 Circulation Journal, Vol.73(5) : 872-877, 2009 
Journal Title
 Circulation Journal 
ISSN
 1346-9843 
Issue Date
2009
Abstract
BACKGROUND: To prospectively investigate the predictive value of the preoperative C-reactive protein (CRP) concentration for major postoperative complications following off-pump coronary artery bypass (OPCAB) surgery. METHODS AND RESULTS: From January 2007 to December 2007, 185 consecutive patients scheduled for elective OPCAB surgery were allocated to a low-CRP group (n=137, CRP <0.3 mg/dl) and a high-CRP group (n=48, CRP > or = 0.3 mg/dl). The incidence of major postoperative complications, defined as postoperative myocardial infarction, and 5 major morbidity endpoints including permanent stroke, renal dysfunction, any cardiac surgery reoperation, ventilation for more than 48 h, and deep sternal wound infection were assessed and compared. Multivariate logistic regression was used to determine the predictors of major postoperative complications. Patients in the high-CRP group had a significantly higher overall incidence of major postoperative complications, particularly renal dysfunction. In the multivariate logistic regression model, adjusting all the significant univariate predictors, baseline CRP >0.3 mg/dl and preoperative chronic renal failure (CRF) remained as significant independent predictors of major postoperative complications. CONCLUSIONS: Elevated preoperative CRP level and/or preoperative CRF indicate increased risk of developing major postoperative complications, particularly acute postoperative renal dysfunction in patients undergoing OPCAB surgery.
Files in This Item:
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DOI
10.1253/circj.CJ-08-1010
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
곽영란(Kwak, Young Lan) ORCID logo https://orcid.org/0000-0002-2984-9927
심재광(Shim, Jae Kwang) ORCID logo https://orcid.org/0000-0001-9093-9692
조광래(Cho, Kwang Rae)
홍성욱(Hong, Seong Wook)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103666
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